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1538396643
SCOTT ALAN WILBANKS
IMBODEN, AR
NPI
1538396643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
-- SCOTT ALAN WILBANKS MHPP
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
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Mailing Address
-- SCOTT ALAN WILBANKS MHPP
609 W 3RD ST
IMBODEN, AR 72434-9099
Phone number: 870-869-1500
Copy
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